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1235468257
PAUL CHANNING FOURNIER
BENTON, AR
NPI
1235468257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-12-22
Last Update Date
2011-10-24
Business Address
-- PAUL CHANNING FOURNIER Recovery Assistant
718 ALCOA RD
BENTON, AR 72015-3406
Phone number: 501-315-3344
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Mailing Address
-- PAUL CHANNING FOURNIER Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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